Adult inpatients with moderate risk diseases Not Applicable Moderate risk diseases
Conditions
Interventions
Arm 1 (intervention) - Hospital at home:
Subjects assigned to this group will be cared by the hospital at home team (intervention). They will be responsible for providing care (as described under 'in
Sponsors
Pontifical Catholic University of Chile (Pontificia Universidad Católica de Chile) (Chile)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adult inpatients requiring interventions usually provided in the hospital, as health care professionals supervision, intravenous drug administration, oxygen therapy, intensive nursing care or rehabilitation 2. One of the following conditions as the main cause of hospitalisation or as complication of the hospitalisation: 2.1. Surgical procedure 2.2. Pneumonia (community acquired and health-care related) 2.3. Upper urinary tract infection (community acquired and health-care related) 2.4. Septic arthritis 2.5. Acute complications of diabetes 2.6. Decompensated chronic obstructive pulmonary disease 2.7. Decompensated heart failure 2.8. End-stage kidney disease waiting for the initiation of dialysis 2.9. Acute renal failure 2.10. Decompensated liver disease 2.11. Deep vein thrombosis requiring hospitalisation 3. Predicted hospital stay over two days 4. Treating physician agreement with the possibility of the patient being managed under hospital at home modality 5. Responsible caregiver agreement with the possibility of the patient being managed under hospital at home modality 6. Home meeting basic characteristics (space, safety conditions, basic service availability, hygiene in general)
Exclusion criteria
Exclusion criteria: 1. Terminal disease or palliative care 2. Patients requiring intravenous treatments more than twice a day 3. Domestic violence, drug addiction, criminal behaviour, extreme poverty or any other factor that may hamper the normal recovery of patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of hospitalisation, measured at discharge (considering both treatments modalities as hospitalisation) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Barthel's Index of Activities of Daily Living, measured at days 0 and 28 2. Confusion Assessment Method for Delirium, measured at days 0 and 7 3. Katz Activities of Daily Living Scale, measured at days 0 and 28 4. Zarit Caregiver Burden Scale, measured at days 0 and 28 5. Pressure ulcers, measured at days 0 and 7 6. Falls, measured at discharge 7. User's satisfaction, measured at discharge 8. Rehospitalisation, measured on day 28, month 3, month 6 9. Emergency department consultations after discharge, measured on day 28, month 3, month 6 10. Mortality, measured on day 28, month 3, month 6 | — |
Countries
Chile
Outcome results
None listed